Healthcare Provider Details

I. General information

NPI: 1346464161
Provider Name (Legal Business Name): RHOBELLIE FLORENDO WILSON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RHOBELLIE FLORENDO SABERON PT

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1738 CHURN CREEK RD
REDDING CA
96002-0236
US

IV. Provider business mailing address

4451 RISSTAY WAY
SHASTA LAKE CA
96019-2352
US

V. Phone/Fax

Practice location:
  • Phone: 530-709-1080
  • Fax:
Mailing address:
  • Phone: 530-524-6286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT28536
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: